Provider Demographics
NPI:1548384944
Name:CUMMINGS, GREGORY WADE (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:WADE
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:82 PLANTATION POINTE # 172
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2962
Mailing Address - Country:US
Mailing Address - Phone:251-219-3935
Mailing Address - Fax:251-219-3935
Practice Address - Street 1:82 PLANTATION POINTE # 172
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2962
Practice Address - Country:US
Practice Address - Phone:251-751-0994
Practice Address - Fax:251-751-0994
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251212084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALD006OtherMEDICARE-TYPE UNSPECIFIED
AL331600586Medicaid
AL331600586Medicaid
ALH84356Medicare UPIN